EEG signatures of motor development in early childhood: a systematic review

Sonia Khurana1, Ashwini Kulkarni2, Thomas C Bulea3

  • 1Ellmer College of Health Sciences Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, VA, USA. skhurana@odu.edu.

Pediatric Research
|June 13, 2026
PubMed

Insights

Electroencephalography (EEG) shows promise for tracking early motor development in children. Mu rhythm desynchronization is a key neural marker for typical motor maturation and assessment.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Biomedical Engineering

Background:

  • Early identification of motor developmental disorders is hindered by the lack of objective neural markers.
  • Existing methods struggle to characterize typical neurodevelopmental patterns in early childhood.
  • There is a need for reliable benchmarks for early assessment and intervention.

Purpose of the Study:

  • To synthesize existing evidence on electroencephalography (EEG) signatures associated with motor development in children aged 0-5 years.
  • To propose a framework of EEG signatures for early assessment and intervention.
  • To establish potential neural benchmarks for typical motor development.

Main Methods:

  • Systematic review following PRISMA guidelines, searching published and gray literature across five databases (2000-2025).
  • Included studies examined EEG during task-based, resting-state, or sleep conditions linked to motor milestones or performance.
  • Study quality was assessed using the NIH tool.

Main Results:

  • Mu rhythm desynchronization (6-13 Hz) was the most common marker of motor maturation, with its peak frequency increasing with age.
  • Motor experience enhanced neural responses, and sleep features (slow-wave activity, spindles) predicted future motor outcomes.
  • Beta oscillations were linked to action prediction and coordination.

Conclusions:

  • EEG is a promising non-invasive tool for tracking early motor development in children.
  • Mu rhythm desynchronization is a key correlate of early motor development.
  • Methodological standardization is needed for reliable identification of atypical development and intervention monitoring.
Abstract

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